NEOPLASIA Flashcards

1
Q

occurs when a group of cells becomes free of normal growth control mechanisms, grows without regard for the normal structural
and functional aspects of a tissue or an organ and excessive growth becomes
autonomous

A

Neoplasia

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2
Q

Neoplasia literally means “____”, and this tissue growth is
called ____

A

new growth
neoplasm

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3
Q

is an abnormal mass of tissue,
the growth of which exceeds and is uncoordinated with that of normal
tissues, and persists in the same excessive manner even after stoppage of the
stimulus that evoked the change

A

Neoplasm or a TUMOR

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4
Q

The key features of neoplasia that
distinguishes it from other forms of cell proliferation include the following:

A

1) Excessive tissue growth
2) Lack of responsiveness to normal control mechanisms
3) Lack of dependence on the continued presence of the stimulus

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5
Q
  • means tissue swelling or mass, but by common usage has come
    to mean neoplasm.
A

TUMOR

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6
Q

is a common term used to mean malignant neoplasm

A

CANCER

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7
Q

is the study of neoplasia, and this word is the basis of
oncogenesis and oncogenic, which relate to the induction of
neoplasia.

A

ONCOLOGY

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8
Q

The common term for a neoplasm is ________ and both of these tend to be used all-inclusively.

A

cancer, or tumor,

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9
Q

best considered as a parasitic abnormal mass of cells which grows more or less progressively unless excised or controlled by
therapeutic intervention” (by Robbins in 1927).

A

Neoplasm

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10
Q

A is an abnormal mass of tissue, the growth of which
exceeds and is uncoordinated with that of the normal tissues and persists in
the same excessive manner after cessation of the stimuli which evoked the
change (Willis 1976).

A

neoplasm or a tumor

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11
Q

occurs in response to loss of tissue, increased functional
demands, disturbed hormonal activity and immunologic stimulation (i.e.,
lymphoid hyperplasia following active vaccination).

A

Hyperplasia

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12
Q

DIFFERENCE BETWEEN HYPERPLASIA AND NEOPLASIA

In summary, neoplasia is
uncoordinated proliferation of tissue,
independent of the structural and
functional patterns of normal tissue,
and is indefinitely progressive.

A
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13
Q

is fundamental and is of primary
importance and can be specified in most instances

A

Histogenetic - Histogenesis

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14
Q

is secondary and may
become arbitrary and subjective in interpretation

A

Behavioral (or the clinical course)- behavior

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15
Q

Histogenic – this is based on the tissue origin (Histogenic) as
1.
2.

A
  1. Mesenchymal
  2. Epithelial
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16
Q

Most are of one neoplastic cell type and fit into one or the other of these two
groups. A few types of neoplasm contain more than one neoplastic cell type. When they
are derived from one embryonic germ layer, they are called Mixed Neoplasm
(e.g.mammary tumors in dogs in which proliferating epithelial tissue is intermixed with
mesenchymal components, bone and cartilage)

A

Let’s break it down:

Definition

Neoplasms (tumors) are abnormal cell growths. Most tumors originate from a single cell type.

Two Main Groups

  1. Monophasic: Tumors composed of one cell type (e.g., carcinoma, lymphoma).
  2. Biphasic/Multiphasic: Tumors containing multiple cell types.

Mixed Neoplasms

Tumors with multiple cell types originating from the same embryonic germ layer (ectoderm, endoderm, mesoderm) are called Mixed Neoplasms.

Characteristics

  1. Derived from one embryonic germ layer.
  2. Contain multiple neoplastic cell types (e.g., epithelial, mesenchymal).
  3. Examples:
    - Mammary tumors in dogs (epithelial + mesenchymal components).
    - Phyllodes tumors (breast).
    - Teratomas (germ cell tumors).

Embryonic Germ Layers

  1. Ectoderm (skin, nervous system).
  2. Endoderm (internal organs, glands).
  3. Mesoderm (connective tissue, bone, cartilage).

Examples of Mixed Neoplasms

  1. Mammary tumors (dogs): Epithelial + mesenchymal (bone, cartilage).
  2. Teratomas: Multiple tissues (hair, muscle, bone).
  3. Phyllodes tumors (breast): Epithelial + mesenchymal.
  4. Fibroadenoma (breast): Epithelial + mesenchymal.

Now, do you have a clearer understanding?

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17
Q

A few types of neoplasm contain more than one neoplastic cell type. When they
are derived from one embryonic germ layer, they are called

A

Mixed Neoplasm

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18
Q

is a neoplasm containing tissues derived from more than
one germ cell layer, and may contain any number of tissues of any type
including bone, skin, nervous tissue, muscle, hair and other.

A

TERATOMA

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19
Q

– this is another classificationthat is based on the growth
behavior of neoplastic cells.

A

Behavioral

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20
Q
  • describes those which are relatively inoffensive.
    -neoplasms that are confined,
    slow-growing and noninvasive
A

benign neoplasm

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21
Q

which are aggressive and potentially life threatening.
- tumors that are invasive, rapidly
growing and dangerous are called
malignant and carry the suffix sarcoma
if derived from mesenchymal tissue or
the suffix carcinoma if derived from
epithelial tissue.

A

malignant neoplasm -

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22
Q

“OMA” - a suffix that refers to a BENIGN TUMOR and is used for
neoplasms that are confined, slow growing and noninvasive. Benign tumors
of either mesenchymal or epithelial origin carry the suffix “OMA”

A
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23
Q

– a suffix used for malignant tumor of epithelial origin.

A

CARCINOMA

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24
Q

– a suffix for malignant tumor of mesenchymal origin.

A

SARCOMA

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25
Different kinds of tumors develop from ________,_______ ,______ even though they normally are very close together. Usually, a tumor is first classified as either epithelial or mesenchymal. Such tumors are said to be poorly differentiated or anaplastic.
Sertoli cells, Leydig cells and seminiferous epithelium
26
Tumor usually occur on skin and may have a variety of forms from pedunculated to flat, smooth or villous. e.g. warts or “kulugo” (this occur in many species)
Papilloma(s)-
27
- tumor occur in glands. e.g. common in dogs as circumanal gland adenoma sebaceous gland adenoma and mammary gland adenoma thyroid gland adenoma
Adenomas
28
–a tumor smooth, spherical or membranous mass projecting on a mucosal surface; may be broad-based or pedunculated. e.g. nasal polyp rectal polyp
Polyp
29
A common group of epithelial tumors found in dogs is the __________ – derived from the basal layer of the squamous epithelium. e.g. sweat gland adenoma sebaceous gland adenoma hair follicle tumor (trichoepithelioma) or sometimes designated as basal cell tumors – _____________ or ________
basal cell group sebaceous gland type or ribbon-type (without using words of either adenoma or carcinoma)
30
– this should carry the name of the tissue of origin, of example, squamous cell carcinoma, transitional cell carcinoma, adrenal cortical carcinoma, hepatocellular carcinoma, pancreatic carcinoma, intestinal carcinoma, renal carcinoma, mammary carcinoma and uterine carcinoma.
Carcinoma
31
. are common in the skin of dogs
Hemangiomas
32
__________– the proper term for malignant tumor of lymphocytes. It has been called various names, such as ______,___,_____
LYMPHOSARCOMA leukemia, leukosis, lymphoma, malignant lymphoma and lymphomatosis.
33
______ – a clinical term for malignant cells circulating in the blood stream. - also means that there are abnormal malignant cells present in the circulating blood, and it may occur in about half of the cases of lymphosarcoma, but this feature (of leukemia) is more consistent in myelogenous leukemia.
Leukemia
34
– is the common descriptive term used for unusually or greatly enlarged organ.
Abnormal mass
35
– ulcerated lesion particularly on body surfaces.
Persistent nonhealing ulcerating lesion
36
Size is no indication of prognosis; a tiny tumor may be highly malignant and a huge one may be benign. Benign tumors tend to be discrete masses
37
– term that is used to describe a monotonous pattern of masses of cells with similar appearance and very little apparent stromal support, just cell after cell after cell.
Sheets of cells
38
– these are characterized by cells forming or attempting to form acinar units, as in a secretory gland like the thyroid or mammary gland.
Acinar arrangements
39
. are typical of endocrine tumors in which a clump or nests of cells is surrounded by a narrowband of connective tissue stroma.
Nests of cells
40
occur when cells line up in a picket fence-type arrangement along a strand of connective tissue, such as in the testicular interstitial cell tumor.
Palisading or trabecular patterns
41
occur when a single, double or finger-like projection of tumor cells invade surrounding tissue. Examples are basal cell tumors or anal gland tumors.
Tubular arrangements
42
When there is little apparent stroma, stromal arrangements may be described as:
1. scant, as in sheets of cells 2. locular, as in the case of nests 3. scirrhous, the reaction when the stoma is very dense and perhaps even predominating over actual tumor cells.
43
Terminologies for sarcomas:
1) Solid or loose arrangements 2) Whorls 3) Sheets 4) Localized around blood vessels 5) Spindly cells 6) Fleshy cells 7) Well or poorly-differentiated 8) Monotonous 9) Variable
44
Growth The pattern of growth influences the type and extent of vascular supply, and these factors, combined with the rate of growth and opportunity for trauma, influence the extent to which hemorrhage occurs in tumors. A delicate blood supply or one with large sinusoidal-type vessels leads not only to hemorrhage but also to thrombosis and ischemic necrosis. Necrosis is prominent in many tumors, particularly in the center of a large mass, and the tissue becomes pale and soft.
45
Four main mechanisms for the spread of tumors:
1. by infiltration 2. by spreading via blood vessels 3. by spreading via the lymphatics 4. by implantation
46
- this theory states that a tumor must find a “suitable soil” for its growth requirements before it will survive as a metastatic nodule.
The SOIL THEORY
47
-this theory states that the tumor will grow wherever it lands, and only mechanical factors and chance influence sites of metastases.
The MECHANICAL THEORY
48
METHODS OF TUMOR DIAGNOSIS Aasa
1) Histologic Examination 2) Immunocytochemical Examination 3) DNA Probe Analysis and DNA Flow Cytometry 4) TUMOR MARKER Detection
49
METHODS OF TUMOR DIAGNOSIS 1) Histologic Examination – the most important method is by BIOPSY METHOD – a) fine needle aspiration b) by exfoliative cytologic examination 2) Immunocytochemical Examination a) by use of monoclonal antibody b) by immunofluorescence method
50
. -abnormal antigen detected in blood of patient with neoplastic condition. - produced by fetal hepatocytes but normally disappears late in fetal life.
Alpha fetal globulin – (or alphafeto globulin) detected in patients with hepatocellular carcinoma or liver tumor/cancer
51
- widely used for cancer detection particularly in respiratory and gastrointestinal tumors. -normally made by intestinal epithelium in fetal life. Appear in adult life in events of tumor.
Carcinoembryonic antigen
52
ETIOLOGY OR CAUSES OF TUMORS The main etiological factors or CARCINOGENS: 1. IRRADIATION - induces mutation - UV rays from sunlight; X and Gamma rays - electromagnetic and ionizing radiation (i.e. nuclear radiation) 2. CHEMICAL - mutagenic effect - polycyclic aromatic hydrocarbons (i.e.cigarette smoke) - azo dyes (i.e., beta-naphthylamine, an aniline dye used in rubber industries) - aromatic amines - alkylating agents such as cyclophosphamide and busulfan used in cancer treatment. - Aflatoxins from aspergilli - hormones (i.e. estrogen) that induces endometrial cancer. 3. VIRAL DNA viruses - Hepatitis B virus - Papillomaviruses - adenovirus, herpes virus, papovavirus, and poxvirus - Herpesvirus (which causes Marek’s disease in chickens, malignant lymphoid neoplasms in guinea pigs, rabbits etc..
53
All oncogenic RNA viruses belong to the
Retroviruses
54
All oncogenic RNA viruses belong to the Retroviruses. Called as retrovirus because it possesses an enzyme called__________________ This enzyme can form DNA using an RNA template.
reverse transcriptase or RNAdependent DNA polymerase.
55
RNA genome contains three sets of genes:
1) gag, encoding viral coat proteins ; 2)pol, encoding the reverse transcriptase and 3) env, encoding envelop glycoproteins.
56
are genes whose products are associated with neoplastic transformation
Oncogenes
57
are normal cellular genes that affect growth and differentiation.
Proto-oncogenes (Proto-oncs)
58
roto-oncs can be converted to into oncogenes by:
(1)transduction into retroviruses (v-oncs) (2) changes in situ that affect their expression and/or function,thereby converting them into c-oncs
59
v-oncs – c-oncs –
viral oncogenes cellular oncogenes
60
TREATMENT OF TUMORS
1. by surgery 2. by irradiation 3. by chemotherapy 4. by immunotherapy
61
Neoplasia (new + growth) 1. the formation of a neoplasm, i.e., the progressive multiplication of cells under conditions that would not elicit, or would cause cessation of, multiplication of normal cells 2. tumor : 1) swelling, one of the cardinal signs of inflammation, 2) a new growth of tissue in which the multiplication of cells is uncontrolled and progressive 3) true tumor, or neoplasm, is an independent or autonomic overgrowth of tissue, which serve no useful purpose and is usually destructive to normal tissue 4) new, progressive, and uncontrolled growth of cell
62
Page 10 , 11 ,12
63
Important morphologic characteristics of cancer cells
a. pleomorphism b. hyperchromatism c. nuclear changes d. bizarre cell e loss of orderly maturation altered growth properties chromosomal abnormality: aneuploid biochemical abnormality
64
Etiology of cancer A. usual causes are chemicals, physical agents, or viruses B. carcinogen 1. any cancer producing substance 2. substances that produce neoplasia C. carcinogenic agents 1. chemicals a. chimney soot, coat tar, dibenzeneanthracene b. general comments strong electrophil reagents or metabolized to electrophils mutagens 16 2. radiation a. ultraviolet b. x irradiation c. radioactive material 3. oncogenic viruses RNA, DNA virus 4. parasites a. esophageal sarcomas in dogs Spirocerca lupi b. hepatic sarcomas in rats-Taenia taeniaeformis c. cholangiocarcinoma in humans Clonorchis sinensis 5. Bacteria Helicobacter pylori 6. Heredity 7. Nutritional factors aflatoxin 8. Hormones estrogen
65
- are a group of genes that normal cells to become cancerous when they are mutated.
proto-oncogenes
66
: viral encoded oncogene
v-oncogene
67
: viral encoded oncogene
v-oncogene
68
- malignancy usually involving the granulocytic group (neutrophils, basophils, eosinophils) and may also involve the red cells and the megakaryocytes.
Myelogenous leukemia
69
__________and___________ are the proper terms that can be used when non-specificity of lesion arising from the bone marrow is described.
Reticuloendotheliosis and myeloproferative disorder